St. Mary's Residential Training School

NPI #1710292891 in Boyce, Louisiana

Provider Information

NPI Number: 1710292891
Entity Type: Organization
Organization Name: St. Mary's Residential Training School
Subpart: Yes (part of a larger organization)
Parent Organization: SHARON SMITH HOME
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 12, 2010
Last Updated: Aug 12, 2010

Practice Location

Address: 6715 HIGHWAY 1
City: Boyce
State: Louisiana
ZIP Code: 71409-9221
Phone: (318) 445-6443

Authorized Official

Name: MISS CARLA BERTANI
Title: ADMINISTRATOR
Phone: (318) 445-6443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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